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NIDIA BULLARD CPNP
NPI 1396191888
Nurse Practitioner - Pediatrics in Hempstead, NY

Active since May 13, 2016PECOS Enrolled
175 FULTON AVE STE 100, HEMPSTEAD, NY 11550(516) 292-1034(516) 292-0565 Get Directions Write a Review

NPPES record last updated: January 25, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Nidia Bullard Cpnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NIDIA BULLARD CPNP (NPI 1396191888) is an individual pediatrics provider in Hempstead, New York, licensed in New York (F382580) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396191888
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameNIDIA BULLARDCredential: CPNP
Location Address175 FULTON AVE STE 100Hempstead, NY 11550-3702
Mailing Address222 Station Plz N Ste 611Mineola, NY 11501-3893 · (516) 292-1034 · Fax (516) 292-0565
Phone(516) 292-1034
Fax(516) 292-0565
Sole ProprietorNo
Enumeration DateMay 13, 2016
Last NPPES UpdateJanuary 25, 2018
✔ NPI 1396191888 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in NY · F382580
175 FULTON AVE STE 100, Hempstead, NY 11550
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nidia Bullard Cpnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Nidia Bullard reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

New York University
1,043 mi
Cardiovascular Disease
3301 QUANTUM BLVD
Boynton Beach, FL 33426
  • Reassigned Medicare billing, New York enrollment
  • 7,712 clinicians in this Medicare group
NPI 1285826438 (877) 648-2964

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11550 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHAEL JACOB CALZA MD
Student in an Organized Health Care Education/Training Program
175 FULTON AVE STE 100
HEMPSTEAD, NY 11550
Nassau County (516) 292-1034
DR. CHRYSANTHE PETRAS MD
Pediatrics
175 FULTON AVE STE 100
HEMPSTEAD, NY 11550
Nassau County (516) 292-1034
OKYRO CANDELARIA CLAUDIO D.O.
Pediatrics
175 FULTON AVE STE 100
HEMPSTEAD, NY 11550
Nassau County (516) 292-1034
WENDY CHAN
Pediatrics
175 FULTON AVE STE 100
HEMPSTEAD, NY 11550
Nassau County (516) 292-1034

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nidia Bullard's NPI number?

The NPI number for Nidia Bullard is 1396191888. It was assigned to this individual provider in the NPPES registry on May 13, 2016.

Where is Nidia Bullard located?

Nidia Bullard practices at 175 Fulton Ave Ste 100, Hempstead, NY 11550. The listed phone number is (516) 292-1034.

What is Nidia Bullard's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Nidia Bullard enrolled in Medicare?

Yes. Nidia Bullard is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Nidia Bullard's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nidia Bullard reassigns Medicare benefits to New York University (Boynton Beach, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nidia Bullard's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Nidia Bullard was last updated on January 25, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.